Jason Daniel Ebelsheiser, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06743 Issued in IA

Practice address

120 N 1St St
Oskaloosa, IA 52577-2812

Phone

(641) 676-1400

Fax

(641) 676-1401

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Chiropractic LLC

  • Chiropractor
  • Oskaloosa, IA
  • NPI 1699738039
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174587877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 1ST ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772812",
            "telephone_number": "641-676-1400",
            "fax_number": "641-676-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 1ST ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772812",
            "telephone_number": "641-676-1400",
            "fax_number": "641-676-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELSHEISER",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "38214",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479006",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE ID",
            "identifier": "246032",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452748",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Lorraine Doyle, ARNP, CPNP
• Catherine Anne Drost, R.D., L.D.
• Vicky Lynn Duncan, MSW LISW
• Sam Dunnett, CSCS, ATC
• Emily Eaton, PT, DPT
• James D Else, O.D.
• Joshua Lee Erickson, ATC, LAT
• Cheryl Renae Ervin, CRNA
• Evergreen Psychological Services
• Eyecare Partners, P.C.

• All providers in Oskaloosa, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.